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Maternity Denial

Cigna Denied Your Maternity / Pregnancy Care?

According to federal data, Cigna Healthcare (The Cigna Group) denies approximately 18.5% of claims. When patients appeal, about 52% are overturned. Your maternity / pregnancy care denial may have grounds for a successful appeal.Sources: KFF ACA Marketplace Transparency Data, HHS OIG Reports, state insurance department filings. Rates are aggregate averages — individual results vary by plan type, denial reason, and documentation.

18.5%
Denial Rate
52%
Appeal Success
30-60 days
Typical Timeline
$5,000–$30,000
Typical Claim

Based on published government and industry research. Individual results vary based on denial type, insurer, and documentation.

Why Cigna Denies Maternity / Pregnancy Care

Services deemed not medically necessary (e.g., genetic testing)

Out-of-network delivery provider

Prior authorization not obtained for specialized maternity care

Cigna's Common Denial Tactics

Mass auto-denials (300,000 claims in 2 months at 1.2 seconds each)

Requiring step therapy for medications your doctor already tried

Denying claims as "experimental" despite FDA approval

How to Win Your Maternity / Pregnancy Care Appeal

OB-GYN letter explaining medical necessity

Documentation of high-risk pregnancy factors

ACOG guidelines supporting the specific care

Laws That Protect You

ACA — Maternity and newborn care as Essential Health Benefits

Newborns and Mothers Health Protection Act (NMHPA)

Women's Health and Cancer Rights Act

Tips for Appealing to Cigna

Reference the ProPublica investigation into automated denials

Gather evidence of prior failed treatments to counter step therapy requirements

Obtain peer-reviewed studies supporting FDA-approved treatments

Ready to Review Your Maternity / Pregnancy Care Denial?

Upload your denial letter and get a clear analysis in minutes. We'll identify potential weaknesses in Cigna's reasoning and outline your appeal options.

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This information is for educational and informational purposes only. It does not constitute legal or medical advice. Statistics cited are from publicly available sources including KFF, HHS OIG, and state insurance department data. Individual results may vary. Consult a qualified professional before taking action on your specific situation.

Cigna Denied Your Maternity / Pregnancy Care? Here's How to Appeal | Lysco